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What to expect with Adenocarcinoma cancer? - adenocarcinoma more condition_symptoms

My brother was diagnosed with metastatic adenocarcinoma, after the removal of a tumor (which proved the tumor after the ablation). This is the same type as our mother died when she was in her early 40s. My brother is only 27 He goes to a specialist hard to see. What should you expect? Can a stadium that is in your cancer? I do not understand how this could happen, because it only 27 Smoke, for most of his life, he goes in this direction?